人工全膝关节置换术后康复护理

Artifical Total Knee Arthroplasty Rehabifitation Nursing

目的总结全膝关节置换术后（TKA）进行早期功能锻炼的经验。方法48例、60膝人工全膝关节置换术后的患者按照预定的康复计划进行早期功能锻炼，术后6h开始进行股四头肌群锻炼，24h后开始进行CPM锻炼，3d下地站立。结果术后2周平均活动度达90％以上，切口I期愈合，无其他并发症，手术优良率这95．16％。结论术后早期功能锻炼安全可行，可使关节功能早期恢复，并可预防并发症。

Objective To summarize nursing experience of early functional exercise after TKAo Method 48 cases （60knees） accepted early functional exercise after TKR femoral tetraceps muscle exer2cise in 6 hours CPM in 24 houers, standing exercise in 3 days.Result Knee movementcan reach more than 90° ,incision healed I0 with 95.16% effective rate. Conclusion Early functional exercise is safe,can prevent complication,inprove convalescence.